JOHN MARIUS AGRAVIO TOLENTINO


Address: 3557 Winter Wren St, Las Vegas, NV 89122-3539
Phone: 7024454092

JOHN MARIUS AGRAVIO TOLENTINO (NPI# 1851990840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851990840
Entity Type Individual
Full Name JOHN MARIUS AGRAVIO TOLENTINO
Credential APRN, FNP-C
Practice Address 3557 Winter Wren St
Las Vegas
NV 89122-3539
Practice Telephone 7024454092
Mailing Telephone 7024454092
Enumeration Date 2020-10-21
Last Update Date 2020-10-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
835286 NV Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3557 WINTER WREN ST
City LAS VEGAS
State NV
Zip Code 89122-3539

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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Competitor

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City LAS VEGAS
Zip Code 89122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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